Medication decision-making on hospital ward-rounds

Melissa Baysari*, Johanna Westbrook, Richard Day

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contributionpeer-review

3 Citations (Scopus)

Abstract

This research explored the decision-making process of selecting medicines for prescription on hospital ward-rounds. We aimed to determine when and with whom medications were discussed, and in particular, whether shared decision making (SDM) occurred on ward-rounds. As a low level of computerized decision support was in place in the hospital at the time, we also examined whether the decision support aided in any medication discussions. Fourteen specialty teams (46 doctors) were shadowed by the investigator while on ward-rounds and all verbal communication about medications was noted. Most medication discussions took place away from the patient bedside and the majority took place between two or more doctors. While a great deal of doctor-patient communication regarding medications took place on ward-rounds, very little of this comprised SDM. More frequently, doctors informed patients of the medications they would be or were currently taking. The computerized decision support had little impact on treatment decision-making. While the value of SDM is often acknowledged in the literature, it appears to be rarely practiced on hospital ward-rounds.

Original languageEnglish
Title of host publicationUser Centred Networked Health Care - Proceedings of MIE 2011
EditorsAnne Moen, Stig Kjær Andersen, Jos Aarts, Petter Hurlen
Place of PublicationAmsterdam
PublisherIOS Press
Pages935-939
Number of pages5
ISBN (Electronic)9781607508069
ISBN (Print)9781607508052
DOIs
Publication statusPublished - Aug 2011
Externally publishedYes
Event23rd International Conference of the European Federation for Medical Informatics, MIE - 2011 - Oslo, Norway
Duration: 28 Aug 201131 Aug 2011

Publication series

NameStudies in Health Technology and Informatics
PublisherIOS Press
Volume169
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

Other23rd International Conference of the European Federation for Medical Informatics, MIE - 2011
CountryNorway
CityOslo
Period28/08/1131/08/11

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